Campbell, Shareen Nicole

Campbell, Shareen Nicole is an sole proprietor health care provider with primary practice located at 20 Paula Pl , Rosedale MD 21237-4547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Campbell, Shareen Nicole can be contacted via phone (443) 680-0361.

Contact Information

Primary practice address
20 Paula Pl Rosedale MD 21237-4547
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R196504 Maryland

Profile Details

NPI number 1982299632
LBN Legal business name Campbell, Shareen Nicole
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2021
Last updated Mar 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982299632 NPPES
Maryland MEDICAID 0000

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